What Works for Adolescent Reproductive Health: Lessons from Experimental Evaluations of Programs and Interventions

This Child Trends fact sheet reviews evaluated programs that focus on adolescent reproductive health. Among the findings: Many different types of programs have been shown to positively affect reproductive health outcomes. Not only school- and community-based sex education programs, but also clinic-based programs, youth development programs, service-learning programs, early childhood programs, and programs for young mothers have been found to be effective. Comprehensive sex education can improve adolescent reproductive health. Of the 21 comprehensive sex education programs that have been experimentally evaluated, 11 had a significant positive impact on the behavior of the youth studied or important subgroups of the sample. No abstinence-only interventions have yet been shown to positively affect any behavioral outcomes. Six abstinence-only interventions have had their impacts on behavioral outcomes experimentally evaluated. None has had an impact on initiation of sexual intercourse, frequency of sexual activity, number of sexual partners, use of condoms, use of contraceptives, pregnancies, births, or STD contraction. None of these six abstinence-only interventions have been shown to negatively affect any behavioral outcomes, either. In particular, in spite of their exclusive focus on abstinence, none have served to significantly decrease condom or contraceptive use. The fact sheet includes a table that shows whether the evaluated programs were found to work, not proven to work, or had mixed findings.

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